HomeMy WebLinkAbout0123248-Electric
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OSHKOSH
ON THE WATER
Job Address 1300 S KOELLER ST
Contractor STIEGLER COMPANY INC
CITY OF OSHKOSH
No
123248
ELECTRIC PERMIT -APPLICATION AND RECORD
Service
o New
o Change 0 Temp
Owner SHOPKO SPE REAL ESTATE LLC Create Date 01/15/2007
Category 643 - Commercial-Addition/Remodels Plan
. N/A Type o Overhead o Underground
Circuits 2 Luminaires 20
----
Switches Receptacles 3
--
Volts
Amps
Appliances
Use/Nature of COMM (SHOPKO) / REMODEL THE STORAGE AREA INTO A RETAIL MATTRESS SHOP
Work
$111.00
Fees, Valuation JOOO.oo
Issued By: ~l_..
Plan Approval
$0.00
Permit Fee Paid
Date 01/22/2007
o Permit Voide~
Parcelld # 1308500100
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the easement
holder(s) and to secure any necessary approvals before starting such activity.
Signature Date
AgenVOwner
Address
PO BOX 3644
GREEN BAY WI 54303 - 3644
Telephone Number .920-494-0224
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (Le. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
. ..JJ#=. /D7 b~
City of Oshkosh
Divisioriof Inspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
~
OfHKOfH
ON THF W^TER
ELECTRICAL PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be processed.
. Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1128,
Oshkosh WI 54903-1128. Commencing work without permit(s) will result in fees being doubled or $100.00 plus the
normal pennit fee, which ever is greater.
OR
If vou are a contractor varticipating in the Permit Fee AccountSvstem and have adequate funds. check here.
;( vou wantth;, processed throughour account 0 . DATE , I cd ory ... .. ·
.JOB ADDRESS J 300 ~ 012 -' /Lr 5fr2 ILk-
OWNER~hn r \~D 5\-000 ~ TV', c.. .
CONTRACTO~ stfQjlJiCCo. me.
CHECK 621' ALL APPUCABLE
USE CATEGORY
DSingle Family DDuplex
DMulti-Family
. o Rental
liCommercial
o InduStrial
.SERVICE DNew
DChange
DTemporary
DNot Applicable
TYPE DOverhead
OUnderground
fQN'ot Applicable
Fn.L IN THE APPROPRIATE BLANK WITHTBE NUMBER
I
Receptacles #
3
I
Circuits #
c!) -f}Li1.J
d()
. Volts
:phase
Amps
Switches #
FixtUres #
CHECK 621' ALL APPLICABLE
ORange ODishwasher OGarbage Disposal
OFan OR Blower OFurnace OAlC
OMotors DGas Pumps DOther _
D~SCRIPTION OF ALL WORK BEING:DONE....~ VY}od..rJ
.J.o.to 0. (l 0.1-(1 r'l yf}r.dJ-rJl ~S ~Sh60 ..
.. .. ..... ...... .. . '. .. . . . I
ODryer OWater Heater
OElectric Sign
#;.() ~orao~ DIY! 0...
.-.. U
VALUE (Including labor and all
ding light IlXtures)$ '1 000. DO .
MASTER ELECTRICIAN